| Name: | Crenshaw Drugs, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 20 Oct 2003 (21 years ago) |
| Entity Number: | 000-231-570 |
| Register Number: | 000231570 |
| County: | Crenshaw |
| Place of Formation: | Crenshaw County |
| Principal Address: | LUVERNE, AL |
| Registered Office Street Address: | 1440 S FOREST AVELUVERNE, AL 36049 |
| Registered Office Street Address ZIP Code: | 36049 |
| Authorized Capital: | $5,000 |
Activities
PHARMACY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194800706 | 2006-10-25 | 2010-08-24 | PO BOX 67, LUVERNE, AL, 360490067, US | 1440 S FOREST AVE, LUVERNE, AL, 36049, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 334-335-5888 |
| Fax | 3343354713 |
Authorized person
| Name | V MERRILL CULVERHOUSE |
| Role | PRES |
| Phone | 3343355888 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 112480 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | OTHER ID NUMBER |
| Number | 0132465 |
| Issuer | MEDICAID |
| Number | 100003555 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| CULVERHOUSE, MERRILL | Agent | 105 WOODFERM DRIVEOPP, AL 36467 |
| Name | Role | Address |
|---|---|---|
| CULVERHOUSE, MERRILL | Incorporator | 105 WOODFERM DRIVEOPP, AL 36467 |
| CULVERHOUSE, SUSAN | Incorporator | 105 WOODFERN DRIVEOPP, AL 36467 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
